Organization
CASITAS DESERT PARADISE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MOSS (ADMINISTRATOR)
(760) 946-2481
Entity
Organization
Contact information
Practice address
18890 MENDOTA RD, APPLE VALLEY, CA 92307-4910
(760) 242-8321
Mailing address
18890 MENDOTA RD, APPLE VALLEY, CA 92307-4910
(760) 242-8321
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
366413189
CA
Other
Enumeration date
07/26/2008
Last updated
07/26/2008
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